ROUHANI AND KHABBAZ DENTAL CORPORATION (NPI# 1497020119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497020119 |
| Entity Type | Organization |
| Organization Name | ROUHANI AND KHABBAZ DENTAL CORPORATION |
| Practice Address |
310 S Lake Ave Lower Level Pasadena CA 91101-3537 |
| Practice Telephone | 6267956855 |
| Practice Fax Number | 6264324260 |
| Mailing Telephone | 6267956855 |
| Mailing Fax Number | 6264324260 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | DR. MORVARD ROUHANI (OWNER) |
| Authorized Official Telephone | 6267956855 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
43654 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
43654 | CA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
43654 | CA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
43654 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
43654 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
43654 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
43654 | CA | Dental Providers |
| Street Address |
310 S LAKE AVE LOWER LEVEL |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396883237 | Leon D Roisman | Dentist | 310 S Lake Ave, Lower Level, Pasadena, CA 91101-3540 | 2007-02-02 |
| 1487112041 | Andy Hoang | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2019-03-03 |
| 1124509120 | Jessica Tong | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2018-08-27 |
| 1689039265 | Ida Chen | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2015-12-23 |
| 1134503733 | Grace Mao | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2015-07-13 |
| 1871904896 | Raymond Wang | Dentist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2014-05-13 |
| 1225315807 | Jeff Wong | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-11-09 |
| 1083997704 | Ari Kuyumjian | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-09-20 |
| 1760764419 | Kristy Hennessee | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-09-19 |
| 1023206463 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197208 | Dental Land Pllc | Dentist | 2525 Southmore Ave # Site200, Pasadena, TX 77502-1451 | 2020-03-03 |
| 1346801792 | Koutchekpour & Spero, A Professional Corporation | Dentist | 900 Valley View Ave Unit 2, Pasadena, CA 91107-1976 | 2019-06-26 |
| 1912563958 | Cisneros Dentistry Pllc | Dentist | 918 W Southmore Ave Ste 115, Pasadena, TX 77502-1020 | 2019-05-15 |
| 1649737008 | Top Dental Pasadena | Dentist | 950 E Colorado Blvd Ste 201, Pasadena, CA 91106-2300 | 2019-02-21 |
| 1225512551 | Winnie Liang | Dentist | 65 N Madison Ave Ste 506, Pasadena, CA 91101-2048 | 2018-09-22 |
| 1063920015 | Pasadena Dental Smile, Pllc | Dentist | 4002 Burke Rd # 100, Pasadena, TX 77504-3451 | 2018-01-11 |
| 1508372269 | Dong-gil Kang Dds Inc | Dentist | 668 N Los Robles Ave, Pasadena, CA 91101-1004 | 2017-12-18 |
| 1962912139 | H. Robert Stender, Dds, Inc. | Dentist | 200 S El Molino Ave Ste 6, Pasadena, CA 91101-2985 | 2017-10-02 |
| 1598293250 | Chandni P. Jogani, D.d.s. | Dentist | 175 S El Molino Ave Ste 6, Pasadena, CA 91101-2564 | 2017-05-25 |
| 1053843359 | Kyle Low | Dentist | 301 S Fair Oaks Ave Ste 205, Pasadena, CA 91105-2536 | 2017-03-28 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.